CHANGE TREATMENT LLC (NPI# 1497256820) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497256820 |
| Entity Type | Organization |
| Organization Name | CHANGE TREATMENT LLC |
| Other Organization Name | CHANGE TREATMENT CENTERS |
| Practice Address |
2926 E Cold Spring Ln Ste 3 Baltimore MD 21214-2800 |
| Mailing Address |
806 Roundtop Ct Apt 3a Lutherville Timonium MD 21093-5041 |
| Practice Telephone | 4436508494 |
| Practice Fax Number | 8887122405 |
| Mailing Telephone | 4108315756 |
| Enumeration Date | 2018-02-21 |
| Last Update Date | 2018-02-21 |
| Authorized Official Name | MR. JOHN WERE (DIRECTOR) |
| Authorized Official Telephone | 4108315756 |
| Authorized Official Credential | MBA, MSC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
R170382 | MD | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Change Treatment Centers | Doing Business As Name - Organization |
| Street Address |
2926 E COLD SPRING LN STE 3 |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21214-2800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811544034 | Emani Williams | Behavior Technician | 4606 Walker Avenue, Baltimore, MD 21214 | 2019-08-22 |
| 1457831166 | Smith Podiatry & Associates LLC | Clinic/Center | 5610 Harford Rd Ste A, Baltimore, MD 21214 | 2018-08-21 |
| 1013435387 | Marcus Motton | Clinic/Center | 5629 Harford Road, Baltimore, MD 21214 | 2017-09-06 |
| 1528432143 | Beverly Jean Tellis | Social Worker | 6310 Harford Road, Baltimore, MD 21214 | 2015-11-19 |
| 1972848745 | Amy M Young | Occupational Therapist | 5908 Edna Ave, Baltimore, MD 21214 | 2012-12-05 |
| 1306112693 | The Good Samaritan Hospital of Maryland, Inc. | Clinic/Center | 4700 Hartford Road, Baltimore, MD 21214 | 2012-03-30 |
| 1578731824 | Rebecca Michele Green | Speech-Language Pathologist | 5302 Plymouth Road, Baltimore, MD 21214 | 2008-02-20 |
| 1891975918 | Karen Schmidt | Occupational Therapist | 604 Hartford Rd., Baltimore, MD 21214 | 2007-11-06 |
| 1972790533 | Patricia Mary Marchetti Smith | Speech-Language Pathologist | 2709 Woodsdale Avenue, Baltimore, MD 21214 | 2007-09-27 |
| 1780896290 | Scott David Hubert | Dentist | 5810 Harford Rd, Baltimore, MD 21214 | 2007-05-04 |
| Find all providers in zip 21214 | ||||
| Taxonomy Code | 207QA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Addiction Medicine |
| A family medicine physician who specializes in the diagnosis and treatment of addictions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619054046 | Paulette Camille Hill | Family Medicine | 707 S President St Apt 1335, Baltimore, MD 21202-4497 | 2006-11-01 |
| 1417982208 | Robert Scott Goodwin | Family Medicine | 251 Bayview Blvd, Room 05a727, Baltimore, MD 21224-6823 | 2006-07-11 |
| 1255976874 | Tuerk House Inc | Family Medicine | 730 N Ashburton St, Baltimore, MD 21216-4703 | 2019-11-07 |
| 1871058701 | Chioma Ugbam | Family Medicine | 22 S Greene St, Baltimore, MD 21201-1544 | 2019-02-05 |
| 1134173594 | Yngvild Olsen | Family Medicine | 2104 Maryland Ave, Baltimore, MD 21218-5612 | 2006-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588293138 | Bmoreyouthful LLC | Family Medicine | 517 Dusk View Dr, Havre De Grace, MD 21078-2369 | 2020-04-06 |
| 1992226310 | Ideal Option, Pllc | Family Medicine | 265 Mill St Ste 100, Hagerstown, MD 21740-6170 | 2017-07-06 |
| 1306395819 | Ciganek LLC | Family Medicine | 633 Railroad Ave, Centreville, MD 21617-1144 | 2016-09-26 |
| 1629114657 | Laurie J. Poss, M.d. P.a. | Family Medicine | 133 Defense Highway, Suite 211, Annapolis, MD 21401-7378 | 2007-01-29 |
| 1891872669 | Akintoye Adelakun | Family Medicine | 3311 Toledo Terrace, Suite A3, Blessing Medical Center, Hyattsville, MD 20785 | 2006-11-01 |
| 1447225719 | Natale Joseph Gagliardi | Family Medicine | 2528 Mountain Rd, #204, Pasadena, MD 21122-2300 | 2006-02-21 |
| 1730787847 | Envision Health and Wellness | Family Medicine | 2 W Rolling Xrds Ste 111, Catonsville, MD 21228-6211 | 2020-10-12 |
| 1760096473 | Capricorn Health LLC | Family Medicine | 101 Chesapeake Blvd, Suite B, Elkton, MD 21921-2192 | 2020-09-01 |
| 1760093009 | Chesapeake Wellness Center | Family Medicine | 251 S Bohemia Ave, Cecilton, MD 21913-1010 | 2020-08-11 |
| 1093331639 | Purpose Health LLC | Family Medicine | 101 Chesapeake Blvd, Elkton, MD 21921-6607 | 2020-06-19 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on CHANGE TREATMENT LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.